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Home My WebLink About2011-00570 - roofing CITY OF ORONO PERMIT NO.: 2011-00570 � �„r� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/OU2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 385 STUBBS BAY RD N PIN : 32-118-23-31-0001 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 5,000.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 118.00 K RANDALL&CO INC 3801 SUNSET DRIVE STATE SURCHARGE(VALUATION) 2.50 SPRING PARK,MN 55384 TOTAL 120.50 (612)281-7683 Minnesota State License#:20637998 OWNER Hollybrook&Co GREGORY,PAMELA 730 2ND AVE S#1450 MINNEAPOLIS,MN 55402- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze req ted in conformance with the State Building Code.This permit may be evo d at any time for ue cause. Z / t / t �?�Tj(,EI�K-� �� D/ � // App'cant Permitee ature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono :� , ;-• Building Permit Application for Internal Work ;� (windows, doors, siding, re-roof, etc.) '_ �� Mailing Address: � (-- 5� a O�,�,�0 PO Box 66 Permit number: �; Crystal Bay, MN 55323-0066 Date received: � � ,� ��'� •, ,�+.,� s, Street Address: Received by: i �'� '�� ti�' 2750 Kelley Parkway Plan review fee: $' t`�Esxoti`'� Orono, MN 55356 �� Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us '� This application form must be completed in full and all required information must be submitted. � Incomplete applications will be returned. (Please print) '� GENERAL INFORMATION: C / � Job Site Address: 38� �t��lS /3ti� �c� Q120i�(o I'�4� ,�S �S (o � Will this be a Parade of Homes, Remodelers Showca e Home or other Display Home. ❑ Yes No � If yes,a specia/event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus se ice will be � required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not 6e allowed. CONTRACTOR/APPLICANT INFORMATIQN: Name: � . ��, c(.,,_t l � (�, , � State License# Z o � 3 � 5 � � Expiration Date: � 31 � -Z � Lead Certification Number: Expiration Date: ,� (for work on homes that were constructed piior to 1978 i Phone: �� , Z�� _ 7� c� 3 (office) q�Z - Y�( , 7 v S 9 (cell) � Mailing Address: '��a� 5�,,�y� p ��,,,` City: 2;,� ��,,,�� ZIP: � � 3g `� Contact Person: � , ,N,�S Applicant is: ontractor Homeowner �c�r�ie o�e� `� Email andbr Fax: ��p�,,,,�}�� , c o,�.� ( y 5 2� �( '1 ( - 7� 5 `j + . t A PROPERTY OWNER INFORMATION: `s Name: �� y �` Phone (day): Cq5 Z. y l� - o �'Z ;; Address: 3 t35 S-�-..b bS �u^-� 12.c� City: ��o�y� ZIP: 5 S 3�(A � Email and/or Fax � z :� � PROJECT INFORMATION: � Type of Project: Any earth movement may require � MCWD review&permits: � ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) � ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other. (specify) Deephaven, MN 55391 � Phone: 952-471-0590 >;+ �Re-roof ❑ Fire Damage Fax: 952-471-0682 ` � � www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ � OQQ, 00 APPLICANT ACKNOWLEDGEMENT: ;r • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The appficant recognizes that they �� are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no atternative � but to reject it until it is complete; � • Some or all of the information that you are asked to provide on this application is classified by State taw as either private or ;'.# confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the ;� data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies ss�� re uired b law. If ou refu to su I the information, the a lication ma not be issued. ;h Applicant's Signature: � Date: �1� 1 �� Last Updated: 03-01-2011 ;�;s � � �- �.� ' V TE TIME CITY OF ORONO D! c,a�LED IN // INSPECTION NOTICE SCHEDULED !/ 4� A_/1/L PERMIT NO. dD/�-0057 d COMPLETED � � ADDRESS c3 (�S `S/ u�GS ��" � f��--� OWNER TELEPHONE NO.��0�-� ��"��3 CONTRACTOR �C- �- — >; DESCRIPTION � a� � lL ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �,_, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � �� - w �-�/L D 1� J � � M /i �cY O >. � � ¢� � � C�.�. W � Q � Z W � W � � W� �GVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContr n it • Inspecto Whi Copyllnspector's File Canary CopylSite Notice i DATE TIAAE ✓ ��RO�� CALLED IN B6�ISp��T80N n107iC� SCHEDULED ��8�°��. o'�011- bd 'j�o COMPLEfED � �� 3 �l,� �6S l:r�y �� Y �'�� rE�.��n�� tvo. �OPfTRACTOR � Iea.�Qe�C -� LZ�- �ir► y D�SCRIP`TIOIV �e-r�f � � ❑ FOOTIfVG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHOREMIETLANDS ❑ FRAMING ❑ MECHANICAL FINAL p ❑ TREE REMOVAL � 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADOfV SLAB ❑ WATER HOOK-UP � PROGRESS p�,, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE 0 SEPTIC iVIAINT. �OLLOW-UP � ❑ DEMO-FIMAL ❑ SEPTIC INSTAIL ❑ HARD COVER REMOVAL � C7 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � � CiiIVIdEFUCONTRACTOH TO WAEEY YOU:_YES_Pd0 � �064AI�IENTS. �10 -teai -o�'�" �,�s.occ�.. reco.c(� � *OLD PERMIT - NO FINAL INSPECTION REQUESTED. � J � . , , ' � `��/G l/�rC�ils�es�,�rc dae en i � � �sa i � - _ (aJG�I� � .,�oi Co�nd��{c ' � � � �a � ,�e�.�.t,t IC'.�.c/.O � � � � � � O WORKSATISFACTORY:PROCEED a8�$OJECTCOMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPAPdCY o ❑CORRECT WORK,CALL FOR REINSPECTIOYd TEMPORARY �y BEFORECOVERING PERMANEhIT ❑CORRECTUNSAFECONDITIONWITHIid HOURS_ p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL IPdSPEGTOfi �CITATION ISSUED ❑ IPISPECTiON REQUIRED.CALL TO ARRANGE ACCESS_ CBII$O!'til�1!@X$l�9SpEC490[124 h011fS Itl�d�VBl1C�. (952) 249�4600 �wrter/Contractos-on si�e: 9nspector. � i Wh Copyllnspector's File Conary CopyfSi4e Plotice